Revison of DEGUM Ultrasound Criteria for Grading Internal Carotid Artery Stenoses and Transfer to NASCET Measurement

被引：140

作者：

Arning, C. ^{[1
]}

Widder, B. ^{[2
]}

von Reutern, G. M.

Stiegler, H. ^{[3
]}

Goertler, M. ^{[4
]}

机构：

[1] Asklepios Klin Wandsbek, Abt Neurol, D-22043 Hamburg, Germany

[2] Bezirkskrankenhaus Gunzburg, Klin Neurol & Neurol Rehabil, Gunzburg, Germany

[3] Klinikum Schwabing, Klin Angiol, Munich, Germany

[4] Otto Von Guericke Univ, Neurol Klin, Magdeburg, Germany

来源：

ULTRASCHALL IN DER MEDIZIN | 2010年 / 31卷 / 03期

关键词：

carotid arteries; vascular; ultrasound color Doppler; ultrasound Doppler; ENDARTERECTOMY; QUANTIFICATION;

D O I：

10.1055/s-0029-1245336

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

Since 1986, German ultrasound criteria for grading carotid stenosis have followed the local diameter reduction percentage consistent with the definition used in the European Carotid Surgery Trial (ECST) definition. To overcome the confusion caused by the coexisting grading method used in the North American Symptomatic Carotid Endarterectomy Trial (NASCET), a German interdisciplinary council on carotid artery stenosis has recommended the implementation of the NASCET grading system (distal diameter reduction percentage) as the standard. The multi-parametric German "DEGUM ultrasound criteria" consisting of combined Doppler and imaging criteria have consequently been revised and transferred to the NASCET definition. In addition, a novel differentiation between main (primary) and additional (secondary) criteria has been proposed. When these ultrasound criteria are combined, vascular sonography allows reliable grading of carotid disease.

引用

页码：251 / 257

页数：7

共 22 条

[1] Treatment of patients with carotid stenosis [J].

Arning, C .

DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2005, 130 (44) :2513-2517

[2] Perivascular colour artefact, a criterion of high-grade internal carotid artery stenoses [J].

Arning, C .

ULTRASCHALL IN DER MEDIZIN, 2001, 22 (02) :62-65

[3] Evaluation of carotid artery stenosis by power Doppler imaging [J].

Arning, C .

STROKE, 1998, 29 (10) :2211-2212

[4]

Arning C., 2002, Farbkodierte Duplexsonographie der hirnversorgenden Arterien

[5] QUANTIFICATION OF ATHEROMATOUS STENOSIS IN THE EXTRACRANIAL INTERNAL CAROTID-ARTERY [J].

DEBRAY, JM ;

GLATT, B .

CEREBROVASCULAR DISEASES, 1995, 5 (06) :414-426

[6] Changes over time in optimal duplex threshold for the identification of patients eligible for carotid endarterectomy [J].

Elgersma, OEH ;

van Leersum, M ;

Buijs, PC ;

van Leeuwen, MS ;

van de Schouw, YT ;

Eikelboom, BC ;

van der Graaf, Y .

STROKE, 1998, 29 (11) :2352-2356

[7] Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European carotid surgery trial (ECST) [J].

Farrell, B ;

Fraser, A ;

Sandercock, P ;

Slattery, J ;

Warlow, CP .

LANCET, 1998, 351 (9113) :1379-1387

[8] DIFFERENTIATING SUBTOTAL CAROTID-ARTERY STENOSES FROM OCCLUSIONS BY COLOR-CODED DUPLEX SONOGRAPHY [J].

GORTLER, M ;

NIETHAMMER, R ;

WIDDER, B .

JOURNAL OF NEUROLOGY, 1994, 241 (05) :301-305

[9]

GORTLER M, 1997, NEW TRENDS CEREBRAL, P67

[10] Carotid artery stenosis: Gray-scale and Doppler US diagnosis - Society of Radiologists in Ultrasound consensus conference [J].

Grant, EG ;

Benson, CB ;

Moneta, GL ;

Alexandrov, AV ;

Baker, JD ;

Bluth, EI ;

Carroll, BA ;

Eliasziw, M ;

Gocke, J ;

Hertzberg, BS ;

Katanick, S ;

Needleman, L ;

Pellerito, J ;

Polak, JF ;

Rholl, KS ;

Wooster, DL ;

Zierler, E .

RADIOLOGY, 2003, 229 (02) :340-346

← 1 2 3 →